Individual provider · Type 1 NPI

Mark M. Widloski, DDS

Oral and Maxillofacial Surgery (Dentist) · Maryville, TN

NPI number 1285631135 Active

Practice location

1505 E Lamar Alexander Pkwy
Maryville, TN 37804-5131

Call (865) 983-8630 Map

Fax (865) 983-3616

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS4711 (TN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1285631135

Mark M. Widloski, DDS's National Provider Identifier is 1285631135, issued on Jul 7, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Maryville, TN. The record was last updated on Oct 10, 2011.